Kristen Dawn Daugherty LISW

NPI 1790995876 - Social Worker - 1041C0700X

NPI Details
NPI 1790995876
Gender Female
Enumeration Date 05/23/2007
Last Updated 07/28/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
616 N VIRGINIA ST
SUITE B
EL PASO TX, 79902-5310, US
Phone (915) 351-4680
Fax (915) 351-3643
Business Location
2214 N WHITE SANDS BLVD
ALAMOGORDO NM, 88310-6140, US
Phone (915) 351-4680
Fax (915) 351-3643
Toxanomy
Taxonomy Code 1041C0700X
License State New Mexico
License Number I-06574
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According to our database, Kristen Dawn Daugherty LISW NPI is 1790995876, taxonomy code is 1041C0700X and license number is I-06574, license state is located at New Mexico. Kristen Dawn Daugherty LISW physically located at 616 N Virginia St, El Paso TX, 79902-5310. NPI Number Kristen Dawn Daugherty LISW has the Individual type.

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1790995876 NPI number is provided on an as is basis without warranty of any kind. 1790995876 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen Dawn Daugherty LISW are for informational purposes only.